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Table 4 What works for whom, how and under which circumstances

From: Exclusion of context knowledge in the development of prehospital guidelines: results produced by realistic evaluation

What works – Guidelines with a degree of force
– Guidelines which are connected to patient notes
– Guidelines in a format adjusted for use outside the ambulance
– Guidelines in a format where it is easy to look up information
– Guidelines with a degree of flexibility
– Systems which collect all the information in one place
– Implementation strategy based on education, simulation and interactive activities
– Development of guidelines involving people with context knowledge
For whom – Both experienced and inexperienced ambulance personnel
– The team, who can work on a common strategy
– The patients, who are treated more equally
How – The guidelines are mostly used implicitly because of the format
– Protocols with some form of checklist or algorithm are used more explicitly
Under which circumstances – On route to the patient as preparation
– Outside the ambulance to check medical doses
– In the ambulance during transport to triage the patient
– When the patient is part of a pathway